{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,12]],"date-time":"2025-10-12T01:47:00Z","timestamp":1760233620023,"version":"build-2065373602"},"reference-count":25,"publisher":"MDPI AG","issue":"4","license":[{"start":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T00:00:00Z","timestamp":1612310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["IJERPH"],"abstract":"<jats:p>Early detection of frailty may prevent or delay adverse health outcomes in community-dwelling older adults. In Portugal, there are currently no valid multidimensional frailty screening tools. SUNFRAIL is a user-friendly multidimensional tool for frailty screening that can be used in primary care. Aims: (i) to determine the validity and reliability of the European Portuguese version of the SUNFRAIL tool for use in community-dwelling older adults; (ii) to assess the screening capacity of this version of SUNFRAIL using Fried\u2019s phenotypic model criteria for frailty as a reference test. Methods: Cross-sectional pilot study in a convenience sample of 128 community-dwelling older adults. Objective and subjective data were collected. Internal consistency, concurrent validity, sensitivity, and specificity (ROC curve analysis) were examined. Results: Internal consistency was low. Significant moderate to strong correlations were found between different domains and the total score. The differences between robust, pre-frail, and frail older adults were significant. SUNFRAIL was also correlated with multimorbidity. Sensitivity and specificity were satisfactory. Conclusions: The European Portuguese version of the SUNFRAIL tool is a promising frailty screening tool for community-dwelling older adults to be routinely used in clinical practice. However, more consistent results on its validity and reliability are needed to be used nationwide.<\/jats:p>","DOI":"10.3390\/ijerph18041394","type":"journal-article","created":{"date-parts":[[2021,2,3]],"date-time":"2021-02-03T11:54:31Z","timestamp":1612353271000},"page":"1394","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Validation and Screening Capacity of the European Portuguese Version of the SUNFRAIL Tool for Community-Dwelling Older Adults"],"prefix":"10.3390","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1573-7657","authenticated-orcid":false,"given":"Ana Filipa","family":"Cardoso","sequence":"first","affiliation":[{"name":"Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5889-5642","authenticated-orcid":false,"given":"Elzbieta","family":"Bobrowicz-Campos","sequence":"additional","affiliation":[{"name":"Centre of 20th Century Interdisciplinary Studies, Faculty of Psychology and Educational Sciences, University of Coimbra, 3000-115 Coimbra, Portugal"}]},{"given":"Lu\u00edsa","family":"Teixeira-Santos","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit, Nursing, Nursing School of Coimbra, 3004-011 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1425-885X","authenticated-orcid":false,"given":"Daniela","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal"}]},{"given":"Filipa","family":"Couto","sequence":"additional","affiliation":[{"name":"Alfena Hospital\u2014Trofa Health Group, Health Sciences Research Unit, Nursing, Nursing School of Coimbra, 3000-232 Coimbra, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-3050-4264","authenticated-orcid":false,"given":"Jo\u00e3o","family":"Ap\u00f3stolo","sequence":"additional","affiliation":[{"name":"Health Sciences Research Unit, Nursing, Nursing School of Coimbra, Portugal Centre for Evidence-Based Practice, A Joanna Briggs Institute Centre of Excellence, 3004-011 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2021,2,3]]},"reference":[{"key":"ref_1","first-page":"130","article-title":"Preventing Frailty Progression during the COVID-19 Pandemic","volume":"9","author":"Boreskie","year":"2020","journal-title":"J. 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